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Trial Title: Prevention of Paclitaxel-induced Peripheral Neuropathy in Breast Cancer Patients

NCT ID: NCT06135493

Condition: Peripheral Neuropathy Due to Chemotherapy

Conditions: Official terms:
Peripheral Nervous System Diseases
Losartan

Conditions: Keywords:
Paclitaxel
Breast Cancer
Peripheral Neuropathy

Study type: Interventional

Study phase: Phase 2

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Prevention

Masking: Single (Outcomes Assessor)

Intervention:

Intervention type: Drug
Intervention name: Losartan
Description: Using losartan to prevent paclitaxel-induced peripheral neuropathy
Arm group label: Intervention arm

Summary: Paclitaxel-induced peripheral neuropathy (PIPN) is one of the most dose-limiting side effects; it causes patients discomfort and pain and sometimes causes the termination of the chemotherapy cycles, leading to treatment failure. A lot of interventions have been tried to prevent PIPN, ensure complete administration of the chemotherapy cycles, and increase the survival rate. One of the promising interventions in the prevention of PIPN is Losartan. Losartan is an angiotensin receptor blocker (ARBs) and is used to treat hypertensive patients. There is strong evidence from different preclinical studies and retrospective cohort studies that Losartan has a neuroprotective effect. The purpose of our study is to investigate the efficacy of Losartan in the prevention of peripheral neuropathy associated with Paclitaxel treatment in Breast Cancer patients.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Females older than 18 years diagnosed with biopsy-confirmed breast cancer (Early breast cancer eligible for adjuvant or neoadjuvant) who are scheduled to receive paclitaxel 80 mg/m2. Exclusion Criteria: - Known hypersensitivity to Losartan. - Not Known Hypertensive patients - Not Known Diabetic patients - Treatment with Losartan/ARBs/ACE-I prior to the study. - Previous neuropathy - Renal impairment (Serum creatinine > 2 mg/dl) - Significant liver disease: liver enzymes 2 folds the upper normal limit - Metastatic breast cancer - Pregnancy or lactation - Taking other medication for neuropathic pain - Significant Hypotension

Gender: Female

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Breast Cancer Comprehensive Center of the National Cancer Institute, Cairo University

Address:
City: Cairo
Country: Egypt

Status: Recruiting

Contact:
Last name: Farida Ali

Phone: 01228188969
Email: faridaali.nci@gmail.com

Start date: December 12, 2023

Completion date: March 30, 2025

Lead sponsor:
Agency: Future University in Egypt
Agency class: Other

Source: Future University in Egypt

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06135493

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